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Physiotherapy Exercises Following an Ankle Fracture
Introduction
Physiotherapy is a pivotal part of the recovery process following an ankle fracture. The primary goal is to restore mobility, strength, and functionality. For residents in the UK, following a guided exercise regimen can significantly accelerate recovery, allowing a return to normal activities and preventing long-term issues.Early Stage Exercises
Initially, physiotherapy will focus on reducing swelling and restoring basic range of motion. Simple exercises may include:Toe Movements
- Gently move your toes up and down to maintain circulation and prevent stiffness.Ankle Circles
- Slowly rotate your ankle in circular movements to enhance flexibility without stressing the healing bone.Intermediate Stage Exercises
Once cleared by your physiotherapist, you can progress to more dynamic exercises:Calf Stretch
- Place your hands against a wall and step the injured foot back, keeping the heel on the ground. Gently lean forward to stretch the calf muscle.Resistance Band Exercises
- Using a resistance band, perform dorsiflexion (pulling toes upwards) and plantarflexion (pointing toes downwards) to build strength.Advanced Stage Exercises
As healing progresses further, more intense exercises aimed at full recovery can be introduced:Balance Training
- Practice standing on one foot for 30 seconds at a time. This can be done on a flat surface and gradually introduced on uneven surfaces to enhance stability.Heel Raises
- Stand on a step with your heels hanging off the edge. Slowly raise your heels as high as possible, then lower them gently. This exercise strengthens the calf muscles and improves ankle stability.Conclusion
Following an ankle fracture, a structured physiotherapy programme is crucial for a successful and timely recovery. Always consult with a qualified physiotherapist to ensure exercises are appropriate to your stage of healing and individual capacity. In the UK, many health services offer tailored rehabilitation programmes, guiding patients through their journey to full recovery.Frequently Asked Questions
When can I start physiotherapy exercises after an ankle fracture?
You can typically start physiotherapy exercises once your doctor or physiotherapist gives you the go-ahead, usually after the initial immobilisation period.
What types of physiotherapy exercises are recommended for ankle fractures?
Common exercises include range of motion exercises, strengthening activities, balance training, and stretching.
How often should I do my physiotherapy exercises?
Initially, you might be advised to do your exercises daily. Your physiotherapist will provide a personalised plan based on your specific needs.
Are there any exercises I should avoid after an ankle fracture?
Avoid high-impact activities, such as running or jumping, until your ankle is fully healed and your physiotherapist gives you the green light.
Can I walk on my fractured ankle?
Walking may be limited at first and should be guided by your healthcare provider. You may use crutches or a support boot initially.
What is the role of ankle stretches in recovery?
Stretches help to improve flexibility, reduce stiffness, and increase the range of motion in your ankle.
When should I seek medical advice during my physiotherapy exercises?
If you experience severe pain, swelling, or discomfort during or after your exercises, contact your physiotherapist or healthcare provider.
Do I need any special equipment for my physiotherapy exercises?
Generally, exercises can be done with minimal equipment. You might use resistance bands, balance boards, or small weights as part of your regimen.
Can physiotherapy help prevent future ankle injuries?
Yes, a proper physiotherapy programme can strengthen the muscles around the ankle and improve balance, reducing the risk of future injuries.
How long does it take to fully recover from an ankle fracture with physiotherapy?
Full recovery varies per individual but typically takes several months. Continuous follow-up with your physiotherapist helps track progress.
Is it normal for my ankle to be stiff in the morning?
Some stiffness in the morning can be normal during the recovery process. Gentle stretching exercises can help alleviate this stiffness.
Can I return to sports after an ankle fracture?
Yes, returning to sports is possible once your ankle has fully healed and your physiotherapist agrees it's safe to do so.
How long should I continue physiotherapy exercises?
Follow your physiotherapist’s recommendations, which might suggest continuing exercises for several months to ensure full recovery and prevent re-injury.
What should I do if I experience swelling after exercises?
Elevate your ankle, apply ice, and reduce the intensity or duration of exercises. Consult your physiotherapist for further guidance.
Are there any lifestyle changes I should consider following an ankle fracture?
Maintaining a healthy weight, wearing supportive footwear, and incorporating strength and balance exercises into your routine can help support your ankle and overall health.
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